SHANA CLARK

WATERTOWN, NY
NPI1528783172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  329830)
Enumeration Date2022-10-06
Last Update Date2022-10-06
Business Address
SHANA CLARK LPN
211 JB WISE PL
WATERTOWN, NY 13601-2507
Phone number: 315-782-7445
Mailing Address
SHANA CLARK LPN
PO BOX 6550
WATERTOWN, NY 13601-6550
Phone number: 315-782-7445
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